The combination of public and private medical practice is widespread in many health systems and has important consequences for health care cost and quality. However, its forms and prevalence vary widely and are poorly understood. This paper examines factors associated with public and private...

Az átalakuló egészségbiztosítás működését évek óta egyre feszítőbb pénzügyi korlátok határozzák meg. A nehéz pénzügyi helyzet mellett a gyógyszerártámogatási rendszer - amely az egészségbiztosítás egyik legfontosabb tevékenységi köre - működtetése során...

Due to expenditure increases that can be attributed to several reasons, healthcare systems throughout the world strive towards cost containment. In order to conduct it in a satisfactory manner, it is necessary fi rst to determine the sources of inefficiency in the process of providing healthcare...

This paper exploits a sharp reduction in patient cost sharing at age 70 in Japan, using a regression discontinuity design to examine its effect on utilization, health, and financial risk arising from out-of-pocket expenditures. Due to the national policy, cost sharing is 60-80 percent lower at...

Background. In Spain's "MIR" system of allocating residency training positions, medical school graduates are ranked according to their performance on a national exam and then sequentially choose from the remaining available training slots. We studied how changes in the MIR system might address...

Since 2003/2004, German hospitals are reimbursed based on a prospective payment scheme (diagnosis related groups, DRGs). Patient classification in neonatology is based inter alia on birth weight, with substantial discontinuities in reimbursement at the relevant thresholds. These discontinuities...

This report is an overview to the presentations and discussions in the seminar Survival or performance? Healthcare viewed through organization, information management, and personnel held on 3.9.2012. The seminar provided an interdisciplinary forum for the question how the health care system may...

Are the healthier wealthier or the wealthier healthier? Evidence from Europe presents an extensive and updated survey of the research findings on socio-economic inequalities in health in six European countries (Denmark, Finland, France, Greece, Netherlands and United Kingdom). Three main...

Taking care of a dependent person means to supply those needs that this person cannot satisfy by himself due to his lack of independence or autonomy (Henderson). Care is transmitted from one generation to another as a social practice and as a cultural heritage. It is taught through culture and...

In this study strengths and weaknesses of financing hospitals in the German health care sector are examined. In the first part of the paper key data of hospitals, subsidies granted by federal states to hospitals, allocation of expenses in the statutory and private health sector are examined....